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DOUGLAS ALLEN BALSTER MD PHD
NPI 1093901639
Pediatrics in Palo Alto, CA

Active since September 18, 2007PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR, SUMC-PEDS PHYSICIAN BILLING MC 5530, PALO ALTO, CA 94304(650) 498-7391(650) 725-7888 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas Allen Balster Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS ALLEN BALSTER MD PHD (NPI 1093901639) is an individual pediatrics provider in Palo Alto, California, licensed in California (A89930) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1093901639
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDOUGLAS ALLEN BALSTERCredential: MD PHD
Location Address300 PASTEUR DR, SUMC-PEDS PHYSICIAN BILLING MC 5530Palo Alto, CA 94304-2203
Mailing Address300 Pasteur Dr, Sumc-peds Physician Billing Mc 5530Palo Alto, CA 94304-2203 · (650) 498-7391 · Fax (650) 725-7888
Phone(650) 498-7391
Fax(650) 725-7888
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateSeptember 18, 2007
Last NPPES UpdateDecember 15, 2021
✔ NPI 1093901639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A89930
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License A89930 (CA)
300 PASTEUR DR, Palo Alto, CA 94304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas Allen Balster Md Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698835577
PECOS Enrollment IDI20081121000539
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL DAVID MARTIN M.D.
Anesthesiology
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
IRENE H JUN MD
Pediatrics
300 PASTEUR DR, SUMC - PEDS PHYSICIAN BILLING MC: 5530
PALO ALTO, CA 94304
Santa Clara County (465) 049-8739
DR. DEBORAH DEE SANDERSON PHYSICAL THERAPIST
Physical Therapist
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-6701
DR. MOLLY TIMMERMAN DO
Physical Medicine & Rehabilitation
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-2206
ANDREW KEES ROORDA M.D.
Internal Medicine (Gastroenterology)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (304) 293-4123
DR. CATHERINE SHARMAN REID MD
Anesthesiology
300 PASTEUR DR, DEPARTMENT OF ANESTHESIA, H3580
PALO ALTO, CA 94304
Santa Clara County (650) 723-7377
DR. ZINA SEMENOVSKAYA MD
Emergency Medicine
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (718) 836-6600
JULIE G REED R.N.
Nurse Practitioner (Pediatrics)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Balster's NPI number?

The NPI number for Douglas Balster is 1093901639. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Douglas Balster located?

Douglas Balster practices at 300 Pasteur Dr Sumc-Peds Physician Billing Mc 5530, Palo Alto, CA 94304. The listed phone number is (650) 498-7391.

What is Douglas Balster's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Douglas Balster enrolled in Medicare?

Yes. Douglas Balster is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Douglas Balster was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.